Unexplained Physical Symptoms vs Somatoform Disorders

Physical symptoms appear and disappear on a regular basis in normal people. Less than 3% of these symptoms result in a visit to a physician (Banks et al., 1975), but more than half the visits to primary care physicians are for symptoms. Even symptoms severe enough to trigger a visit are usually self-limited; about three-quarters improve or disappear in 2 weeks, and over half of those remaining have improved or disappeared at 3 months (Kroenke and Jackson, 1998). Most patients do not remember having a symptom that they reported 1 year earlier (Simon and Guerje, 1999). From this cohort of symptomatic patients, a substantial number have symptoms sufficiently persistent, severe, or numerous to justify a diagnostic workup, which usually reveals a medical problem that the family physician manages in the usual

Box 46-1 Personality Disorder Clusters*

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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